[104-10222-10012.pdf — page 313]
# SECRETSECTION IVGEOGRAPHIC AREA KNOWLEDGE AND FOREIGN TRAVEL| NAME OF REGION OF COUNTRY | TYPE OF SPECIALIZED KNOWLEDGE | DATES OF TRAVEL OR RESIDENCE | DATE & PLACE OF STUDY | KNOWLEDGE ACQUIRED BY | CHECK (X) |       |                 || ------------------------- | ----------------------------- | ---------------------------- | --------------------- | --------------------- | --------- | ----- | --------------- ||                           |                               |                              |                       | RESI- DENCE           | TRAVEL    | STUDY | WORK ASSIGNMENT ||                           |                               |                              |                       |                       |           |       |                 ||                           |                               |                              |                       |                       |           |       |                 ||                           |                               |                              |                       |                       |           |       |                 ||                           |                               |                              |                       |                       |           |       |                 ||                           |                               |                              |                       |                       |           |       |                 ||                           |                               |                              |                       |                       |           |       |                 |SECTION VTYPING AND STENOGRAPHIC SKILLS1 TYPING (WPM)252 SHORTHAND (WPM) 3. INDICATE SHORTHAND SYSTEM USED - CHECK APPROPRIATE ITEM* GREGG* SPEEDWRITING* STENOTYPE* OTHER (specify)4 INDICATE OTHER BUSINESS MACHINES WITH WHICH YOU HAVE HAD OPERATING EXPERIENCE (calculator, mimeograph, card punch, etc.)SECTION VISPECIAL QUALIFICATIONS1 LIST ALL HOBBIES AND SPORTS IN WHICH YOU ARE ACTIVE OR HAVE ACTIVELY PARTICIPATED. INDICATE YOUR PROFICIENCY IN EACH.2 EXCLUDING BUSINESS EQUIPMENT OR MACHINES WHICH YOU MAY HAVE LISTED IN ITEM 4, SECTION V, LIST ANY SPECIAL SKILLS YOU POSSESS RELATING TO OTHER EQUIPMENT AND MACHINES SUCH AS OPERATION OF RADIO TRANSMITTERS. Indicate CW speed, sending & receiving. OFFSET PRESS, TURRET LATHE, EDP AND OTHER SCIENTIFIC & PROFESSIONAL DEVICES3 ARE YOU NOW OR HAVE YOU EVER BEEN A LICENSED OR CERTIFIED MEMBER OF ANY BRANCH OF PROFESSION, SUCH AS PILOT, ELECTRICIAN, RADIO OPERATOR, TEACHER, LAWYER, CPA, MEDICAL TECHNICIAN, PSYCHOLOGIST, MUSICIAN, ETC.?. ....* YES* NO4 IF YOU HAVE ANSWERED "YES" TO ITEM 3 ABOVE, INDICATE KIND OF LICENSE OR CERTIFICATION, AND THE ISSUING STATE, MUNICIPALITY, ETC. (Provide license registry number if known).* FIRST LICENSE/CERTIFICATE (year of issue):* LATEST LICENSE/CERTIFICATE (year of issue):5 LIST ANY SIGNIFICANT PUBLISHED MATERIALS OF WHICH YOU ARE THE AUTHOR (do NOT submit copies unless requested). INDICATE THE TITLE, PUBLICATION DATE, AND TYPE OF WRITING (non-fiction or scientific articles, general interest subjects, novels, short stories, etc.)8 INDICATE ANY DEVICES WHICH YOU HAVE INVENTED AND STATE WHETHER OR NOT THEY ARE PATENTED.9 PUBLIC SPEAKING AND PUBLIC RELATIONS EXPERIENCESECRET-3-